Study protocol for the Breathe Easy All Together e-cigarette prevention program: a RE-AIM framework-based experimental process and impact evaluation
Abstract
Background: Effective preventative interventions are urgently needed to address the increasing rates of e-cigarette use among young people and to complement the Australian government's latest tobacco control measures. School-based interventions using peer leaders can effectively shape social norms and expectations associated with tobacco use. This paper describes the protocol for the Breathe Easy All Together (BEAT) study, a process and impact evaluation of the first school-based peer-leadership intervention to prevent adolescent e-cigarette use in Australia.
Methods: A pre-post test design will be used to conduct process and impact evaluation of the BEAT program using the RE-AIM (Reach, Effectiveness, Adoption, Implementation and Maintenance) framework. The intervention utilises a multi-component peer-education model driven by students, to promote respiratory health and resist e-cigarette use within a supportive school environment. Volunteer Year 10 students (14- to 16-years-old) will be trained by the research team as peer leaders, to deliver two 60-min lessons to Year 7 students (11- to 13-years-old) during routine health education classes. Year 10 peer leaders and Year 7 students will complete online self-report surveys pre- and post-program to assess changes in the primary outcome of past-30-day e-cigarette use. Secondary outcomes include tobacco use behaviours, e-cigarette knowledge, perceptions, refusal skills, intentions to use e-cigarettes, and acceptability of…
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